Clinical Psychology Commons^™

A Comparison Of Simulated Schizophrenia In Mental Health Experts And Genuine Schizophrenia In Psychiatric Patients, Amanda Rosinski

Dissertations, Theses, and Capstone Projects

Malingering includes the intentional feigning of psychiatric symptoms combined with motivation for external gain (American Psychiatric Association, 2013). Malingering is likely to occur in the justice system in both criminal and civil contexts, as there is increased opportunity for secondary gain in these settings. When individuals successfully malinger, it can be very costly for the United States. For example, if an individual successfully malingers, it can delay their criminal proceedings, allow them to inappropriately use resources associated with psychiatric or medical treatment, allow them to gain access to unneeded medications or financial assistance, or allow them to avoid work (Chafetz …

Youth Bystander Intentions To Intervene In Peer Intimate Partner Violence: The Co-Influence Of Perceived Perpetrator Race And Perceived Culpability, Nana Amoh

Dissertations, Theses, and Capstone Projects

In recent years, bystander intervention programs that focus on addressing violence have notably become more popular and prevalent on college campuses. Bystander intervention programs serve to help college students identify and intervene in emergency situations like intimate partner violence. Despite advances in the bystander intervention literature, there is a dearth of research that has examined bystander intentions to intervene in situations of intimate partner violence among youth who have witnessed violence between peers. This study examined bystander intentions to intervene among young adults who witnessed peer male-to-female physical intimate partner violence and whether intentions to intervene varied depending on perpetrator …

Pilot Study Of The Effects Of Mobile Based Resonant Frequency Breathing On Cognitive Performance In Healthy Young Adults With Elevated Stress, Daniel Saldana

Dissertations, Theses, and Capstone Projects

Objective: Prior research has shown a bidirectional relationship between breathing, emotions, behavior, and cognitive functions thought to be mediated by the autonomic nervous system (ANS). Studies have shown that deep or diaphragmatic breathing interventions are associated with improved affect and decreased stress levels, but little attention has been paid to the effects of breathing training on cognition. The few studies that have looked at this have shown improved attention, memory, and executive functioning as a result of breathing interventions. While suggestive of positive benefits, these studies used control groups that are either inactive or inappropriate for determining their respective mechanisms …

The Effect Of Psilocybin On Personality, Ravital Labua

Dissertations, Theses, and Capstone Projects

As classic psychedelics are increasingly legalized and reintroduced into the psychotherapeutic frame, a deeper understanding of their effect on personality and overall wellbeing - as well as their clinical contraindications and potential pitfalls - will prove essential. As a result, this study represents a preliminary investigation into the effect of psilocybin exposure on a range of personality constructs.

Methods: Data was collected through a collaboration with The Psychedelic Society, an organization that legally administers psilocybin truffles in the Netherlands to self-selecting retreat attendees who have been screened for mental health disorders in accordance with Johnson et al.’s (2008) widely accepted …

Treatment, Diagnostic, Demographic, And Historical Factors Affecting Mental Health Diversion Outcomes, Amanda L. Reed

Dissertations, Theses, and Capstone Projects

The deinstitutionalization movement, which began in the 1950s and culminated in the closure of most psychological institutions by the 1980s, promised to usher in a new era of community mental health (Torrey et al., 2010). While the movement, which began largely due to advances in psychological treatment and the exposure of widespread abuses in asylums, was well-intentioned, it ultimately created new problems for people experiencing mental illness. Many of the programs designed to handle the influx of newly-released patients were never fully funded or well-received (Human Rights Watch, 2003). The criminal justice landscape also changed dramatically around the same time, …

A Randomized Controlled Trial Of Psychological Outcomes Of Mobile Guided Resonant Frequency Breathing In Young Adults With Elevated Stress During The Covid-19 Pandemic, Al Amira Safa Shehab

Dissertations, Theses, and Capstone Projects

Deep breathing practices have shown promise in reducing stress, anxiety, and depression in different populations, including young adults. Specifically, resonant frequency breathing can exert an impact on stress response systems through the vagus nerve and the hypothalamo-pituitary-adrenal (HPA) axis. This may induce reductions in stress and improvement in emotion regulation. Young adults, including college students, tend to be at a higher risk for psychological distress, as they face several psychosocial challenges. The COVID-19 pandemic has imposed new and unique stressors that resulted in higher levels of stress and emotional symptoms and it has been shown that this may have placed …

Childhood Adhd, Impulsivity, And Alcohol-Related Impairment Among Diverse College Students, Mariely Hernandez

Dissertations, Theses, and Capstone Projects

Aims: We examined (1) if students with high childhood ADHD symptoms, and at high risk for alcohol use disorder (AUD) reported greater alcohol-related impairment (ARI) than their low childhood ADHD peers who had comparable rates of alcohol use; and (2) whether alcohol-related problems were more severe for those with high childhood ADHD and high AUD risk when their trait impulsivity was high.

Method: 18-to 25-year-old (N=81), racially/ethnically diverse, college students completed a two-part study. An online survey assessed childhood ADHD symptoms (Wender Utah Rating Scale) and past-year alcohol use (Alcohol Use Disorders Identification Test). Laboratory assessment comprised neuropsychological and self-report …

Traces Of Absence: How The Trauma Of The Yemenite, Mizrahi And Balkan Kidnapped Children Affair Is Present In Photographs And Home Movies, Natalie Haziza

Dissertations, Theses, and Capstone Projects

Between 1948 and 1956, an estimated thousands of babies and young children were kidnapped through the state medical system, in the newly established State of Israel. They were offered for adoption to barren parents (often Holocaust survivors), sold to international adoptive families (often in the United States), and in the most disturbing cases used in medical experiments. Parents were often told that their children had died during routine medical care, but were provided with neither death certificate nor body. The majority of the victims of these kidnappings were Mizrahi - Jewish immigrant families from Arab and Muslim countries. Most families …

Learning To Feel Safe: A Translational Study Of The Influence Of Safety Learning On Anxiety-Related Overgeneralized Fear, Hyein Cho

Dissertations, Theses, and Capstone Projects

Anxiety disorders are among the most common mental health diagnoses, affecting about a third of the population in their lifetime. However, approximately a third of individuals with anxiety do not respond to current treatment approaches, highlighting the need to identify additional potential therapeutic mechanisms. Safety learning is one such mechanism, but methodological challenges and a dearth of research have prevented the field from advancing the understanding of the role of safety learning in the etiology and remediation of anxiety disorders. Animal research, using single-cued safety learning paradigms, has yielded promising early findings, demonstrating that safety learning directly reduces anxiety-related behaviors …

Smartphones And Somatizing, Jonathan Berkowitz

Dissertations, Theses, and Capstone Projects

This project explores the relationship between smartphone use, somatizing, and mentalized affectivity. The sample consisted of 511 iPhone users who completed an online survey that included scales measuring somatizing, mentalized affectivity, and general symptoms, as well as measures of smartphone engagement and addiction. Participants also provided data from their screentime application, and information about game-playing tendencies. A series of regression models were used to analyze data.

Results showed that smartphone addiction and game playing predicted somatizing, and did not interact with mentalized affectivity. Game-players somatized more than non-game players, and within the game-playing subgroup, those who reported spending more time …

How Psychotherapists Practice In The Digital Era, Josh Weinstein

Dissertations, Theses, and Capstone Projects

The digital era, marked by digital devices connected via high speed data networks, has altered human experience in profound ways over the past 40 years. The potential for novel forms of human relating and fulfillment of desire has led to myriad changes in behavior, thought and unconscious activity. While many adapt or thrive in expanded reality, for some, the digital can be context, source and/or location for psychological affliction. When those who suffer seek psychological relief, how psychotherapists listen for, conceptualize and work with the effects of the digital matter a great deal. While theoretical and quantitative research literature exists …

Antecedents Of Borderline Personality Disorder And Antisocial Personality Disorder: An Examination Of Gene X Environment Interactions, Amy L. Medina

Dissertations, Theses, and Capstone Projects

Current thinking suggests that genotypes associated with impulse-control disorders and negative emotionality, such as monoamine oxidase-a (MAOA), interact with negative early environmental factors like childhood maltreatment and develop into the disorders know as Borderline Personality Disorder (BPD) and Antisocial Personality Disorder (ASPD). Using existing data from a prospective cohort design study of the consequences of child abuse and neglect, participants (N = 896 represent individuals with documented histories of child abuse and neglect and a matched comparison group that were followed up into adulthood and interviewed. A subsample of 631 participants gave permission for DNA extraction and analyses during …

Attachment, Exploration, And Internalized Homonegativity, Gregory J. Gagnon

Dissertations, Theses, and Capstone Projects

Background: Internalized homonegativity (IH; a.k.a. internalized homophobia), has been implicated in health disparities between lesbian, gay, and bisexual persons (LGBs) and their heterosexual peers. Yet, little available research has explored factors that may increase or decrease IH.

Objective: This dissertation investigates relations between child and adult attachment and IH. It further examines the mediating and moderating roles of exploration and mentalization, respectively, in the attachment–IH relation.

Method: One hundred fifty cisgender LGB adults participated in two waves of an online survey. The first assessed recalled child–maternal and child–paternal attachment and current attachment to the romantic partner. The second, conducted two …

Taking It To Heart: Trauma And Cardiovascular Risk In Court-Involved People Of Color, Tanya Erazo

Dissertations, Theses, and Capstone Projects

Research supports that racial disparities in health persist in the United States, with cardiovascular risk and cardiovascular disease remaining particularly high in low-income, communities of color (U.S. Department of Health and Human Services: Centers for Disease Control and Prevention, 2013; Winkleby, Jatulis, Frank, & Fortmann, 1992). Public health literature often focuses on sociodemographic variables when assessing for health disparities without considering trauma or forensic populations. This dissertation provides an overview of literature that examines cardiovascular disease and its relationship to trauma, particularly in low-income, communities of color, and forensic populations. Although the dissertation culminates in providing results for an investigation …

Intra-Familial Microaggressions, Object Relations, And Racial Identity Formation In Multiracial Individuals, Ashley Danies

Dissertations, Theses, and Capstone Projects

The concept of the self in relation to others is referred to in psychoanalytic theory as one’s ‘object-relations’ (Kernberg, 1984). One of the earliest object-relationships is between baby and caretaker(s), through which the baby develops a sense of their own identity (Mahler, 1967; Sandler & Sandler, 1978). Multiracial individuals, or those whose families fall in two or more different racial/ethnic groups, report racial microaggressions from within their own families (Nadal, Sriken, Davidoff, Wong, & McLean, 2013). Notably, Multiracial individuals who have one White parent and one non-White parent face a greater possibility of rejection from one or both sides of …

Sex/Gender Differences In Serial Position Profiles In Patients With Mild Cognitive Impairment And Healthy Controls, Emnet Z. Gammada

Dissertations, Theses, and Capstone Projects

Introduction: Alzheimer’s disease disproportionately affects more women, but paradoxically, men have a higher incidence of Mild Cognitive Impairment (MCI). Researchers have suggested that women’s verbal memory advantage across the lifespan reflects better premorbid skills, which then require more neurodegeneration to manifest early clinical impairment. To date, measurement of sex differences in verbal memory have used total list scores. We proposed that a granular examination of serial position effects (SPE) in list-learning can refine the source of sex/gender differences.

Methods: A cross-sectional analysis of participants with Mild Cognitive Impairment (MCI) and Healthy Controls (HC) was examined from the Alzheimer’s Disease Neuroimaging …

The Role Of Mentalized Affectivity In Romantic Love And Relationship Satisfaction, Camilla P. Hegsted

Dissertations, Theses, and Capstone Projects

Introduction: The role that mentalized affectivity plays in the relationship between romance love and relationship satisfaction was investigated. Methods: 504 participants completed three measures: Mentalized Affectivity Scale, Adapted Triangular Love Scale, and the Relationship Assessment Scale. Results: A number of relationships among the variables was found. However, the processing variable of mentalized affectivity did not moderate the relationship between the intimacy and relationship satisfaction variables. Conclusion: Possible reasons for this finding are discussed. Results show the importance of modulating ability on romantic relationships: being better skilled at modulating one’s affects and emotions predicts greater intimacy levels in relationships as well …

Stalking And Attachment Theory: Causes And Management, Zoe Turner

Dissertations, Theses, and Capstone Projects

Stalking is an issue that has drawn increasing attention over the past four decades. Approximately 6 million Americans report being the victims of stalking each year. The psychological and physical effects of stalking can be severe, ranging from anxiety and depression to physical harm and even death. With the rise of technology and social media, cyberstalking has become an additional problem in recent years. It is vital to understand the root causes of stalking behavior from a psychological perspective in order to create appropriate management and treatment plans. The current research investigates the role of attachment theory in stalking. Within …

Neurodevelopmental Mechanisms Of Adverse Trauma Outcomes In Emerging Adulthood, Olena Kleshchova

Dissertations, Theses, and Capstone Projects

Background: Exposure to traumatic stress and adversity during the formative years of development can have adverse effects on mental health, neuroendocrine stress system function, and the brain, that persist into adulthood. One candidate mechanism that might confer vulnerability to enduring adverse outcomes of early life trauma is disruption of normal brain maturation. As the brain matures, functional interactions among brain regions change until the functional brain architecture (i.e., the functional connectome) reaches a mature state in adulthood. Given that different neural circuits have distinct developmental trajectories and sensitive periods, traumatic stress at a given point in development might have …

Affect, Behavior And (Dys)Regulation: Integrating Youth's Projective Tests And Self-Reports, Laurel Wright

Dissertations, Theses, and Capstone Projects

Past and current research indicates that unconscious processes (e.g., outside the realm of conscious awareness) contribute to aspects of adaptation and development, such as emotion regulation, adaptability, interpersonal flexibility and overall identity formation. Further, unconscious processes including: Defense Mechanisms (DMs), Affect Maturity (AM) and Object Relations (OR), can be operationalized and scored using valid and reliable psychodynamic instruments (e.g., Rorschach Inkblot Method), with theoretical and empirical links to underlying emotion regulation processes. Currently however, emotional dysregulation and its sequelae (e.g.,depression and ADHD symptoms) are most often assessed based on one’s conscious awareness, using standardized self-report measures or structured clinical interviews. …

Do Criminal And Successful (Non-Institutionalized) Psychopaths Differ On Internal, Environmental, And Contextual Characteristics?, Ahmed E. Enaitalla

Dissertations, Theses, and Capstone Projects

Psychopathy is a personality disorder characterized by shallow emotions, particularly social emotions such as guilt, remorse, and empathy, as well as an arrogant and impulsive interpersonal style that involves the manipulation and domination of others. Despite the long history of theory and research on psychopathy, there continues to be a disagreement as to whether antisocial tendencies and criminal behaviors are an inherent part of the construct or are one possible byproduct of the aforementioned traits. In an attempt to resolve this disagreement, some researchers have shifted their efforts towards the study of psychopaths who reside beyond the walls of prisons …

Developmental Predictors Of Adolescent Mental Health Stigma And A Cluster Randomized Controlled Trial Of "Ending The Silence" In New York City, Joseph S. Deluca

Dissertations, Theses, and Capstone Projects

This study explored predictors of mental health stigma among adolescents and the effectiveness of a school-based mental health stigma reduction and health promotion program, “Ending the Silence” (ETS), developed by the National Alliance on Mental Illness. Youth mental health service use is impacted by many factors, but concern about stigma and low mental health knowledge have been consistently identified as leading barriers to help-seeking. Beyond education and contact program components, existing research on how to design a successful adolescent stigma reduction intervention has been inconclusive. A diverse sample of 206 high school students in New York City participated in the …

Intrapersonal And Interpersonal Factors Predicting Distress And End-Of-Life Planning Among Individuals With Advanced Cancers, Aliza A. Panjwani

Dissertations, Theses, and Capstone Projects

The social-cognitive processing model of adaption to cancer posits that both intrapersonal and interpersonal factors influence psychological adjustment (Lepore, 2001). In this dissertation, two intrapersonal factors, intolerance of uncertainty (IU) and experiential avoidance (EA), were examined in relation to emotional distress (psychological outcome) and advanced care planning (behavioral outcome) among patients living with advanced cancer. EA (efforts intended to avoid negative emotions, thoughts, images or memories) was hypothesized to mediate the relationship between IU (the ability to tolerate uncertainty or the unknown) and emotional distress. In line with the social-cognitive model, two interpersonal factors, social support from family and friends …

The Contribution Of Trait Emotional Intelligence To The Relationship Between Childhood Adversity And Pscyhiatric Symptoms In Adulthood, Aura-Maria Morales

Dissertations, Theses, and Capstone Projects

Trait emotional intelligence (TEI) has been found to be an important predictor of and protective factor against psychopathology, including psychopathology in the context of trauma (Hofman et al., 2016; Rudenstine & Espinosa, 2018). The long-established empirical investigation of the relationship between trauma and psychopathology has brought attention to the significance of adverse childhood experiences (ACEs). Similarly, recent literature has honed in on how important aspects of a person’s development such as their attachment style and the culture within which their development is embedded, can mutually inform their development of TEI. This dissertation is an attempt to derive a greater understanding …

Object Relations, Identity Formation, And Transitional Space In Religious Conversion, Arielle Rubenstein

Dissertations, Theses, and Capstone Projects

Conversion between broad religious groups is a life transformation undertaken by 15% of Americans, yet it has seldom been studied closely from a psychodynamic perspective. The psychological study of conversion began with a Protestant paradigm of sudden and total transformation of the self, and over time came to characterize different manifestations of conversion to more diverse religious groups. Research on conversion has primarily sought to understand whether conversion is essentially a psychopathological phenomenon, and has led to a multiplicity of both positive and negative, at times contradictory, findings. Research has shown that conversion is associated with insecure attachment, neurotic personality …

A Comparison Of Strain, Social Learning, Control, And Trauma Theories Of Crime, Nicole Trauffer

Dissertations, Theses, and Capstone Projects

The field of criminology has been dominated by Strain, Control and Social Learning Theories, among others. More recently, research and theory has focused on the role of trauma as a predictor of criminal behavior, especially for women. However, little research has empirically compared these theories to one another. The current study examined these four major theories to determine which best explains non-violent and violent criminal behaviors. Race and sex differences were examined. The data is from a large prospective cohort design study of individuals with documented histories of physical and sexual abuse and neglect and a control group of children …

Psychoanalytic Determinates Of The Love/Work Balance In A Cohort Of African-American Men, Joseph Ellison Brown

Dissertations, Theses, and Capstone Projects

With the data derived from the life-narratives of a cohort of six African-American men, this study is an attempt to discern the effect that racial discrimination may have had on the love/work balance that developed as each participant progressed through his life-arc. The varying degrees of love/work imbalance, in the lives of the participants, are examined using a psychoanalytic framework. Through the use of this framework, each participant’s work environment becomes derivative of the aggressive aspects of the id and the family, friends and community environment (love) becomes derivative of the narcissistic aspects of the id. Although the participants, to …

A Grounded Theory Investigation Of The Subjective Responses From Partners In Couples Where Infidelity Has Occurred, Malika Bhowmik

Dissertations, Theses, and Capstone Projects

This qualitative study investigates the subjective responses elicited by partners in long-term committed couples where infidelity has taken place. Each of these couples attended a couple therapy session in the aftermath of their experience of an affair, and the transcriptions of these therapy sessions served as the data set for this investigation. In their seeking of help, most couples articulated a broad, comparable trajectory of the issues; their post-affair understanding of their pre-affair relationship including the state of their pre-affair sex, the origins of the unfaithful partner’s ability to stray from the primary relationship, the impact of the affair on …

Applying A Metacognitive Framework In The Neuropsychological Assessment Of Subjective Cognitive Decline And Mild Cognitive Impairment, Susan Y. Chi

Dissertations, Theses, and Capstone Projects

The characterization of the earliest stages of Alzheimer's disease (AD) is a topic of major research interest because it is critical for early diagnosis and emerging interventions. Metamemory, or knowledge about memory, including awareness of one’s own memory functions, has been investigated in AD especially in relation to how impairment in memory and executive functions contribute to unawareness of cognitive deficits, termed anosognosia. Previous research, however, has not systematically investigated metamemory functioning in older adults with prodromal dementia conditions. Therefore, we investigated metamemory accuracy in cognitively healthy older adults (HC) and those with subjective cognitive decline but intact neuropsychological test …

Therapist Mentalization And Patient Outcomes In The First Year Of Psychotherapy, Michael Palumbo

Dissertations, Theses, and Capstone Projects

This study examined associations between therapist mentalization and patient outcomes in the first year of psychotherapy. Mentalization is the implicit and explicit consideration of mental states—one’s own as well as others’—and how such states mediate a person’s experiences in the world. It is conceptualized as existing on a scale of increasing complexity. This study sought to extend developmental research that has illustrated the positive influence of a parent’s mentalization on a child’s emotional well-being. Specifically, it was proposed that psychotherapy cases with high levels of therapist mentalization would have better patient outcomes than those with low levels of therapist mentalization. …